| NPI | 1891524930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL OKEWOLE CEO 602-391-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-08-22 |