| NPI | 1083173546 |
|---|---|
| Former Name | STACEY GUZMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2025-09-15 |