| NPI | 1811221971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVA ELAINE BLANKS Licensed Psychologist 602-751-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 4005) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2016-10-21 |