NPI | 1972029205 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI LONG Owner/Psychologist 602-904-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 4207) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2017-08-18 |