| NPI | 1942994413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA GOODMAN Licensed Psychologist 480-330-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |