| NPI | 1891970703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH SWANN President 928-214-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1520) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2015-02-16 |