| NPI | 1720372592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE C. LINDSTROM Managing Member 602-309-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1748) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |