| NPI | 1811287097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM H LATEEF President 602-403-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: AZ AP1782) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2015-10-02 |