| NPI | 1215379110 |
|---|---|
| Former Name | SIERRA ROSE YAZZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 22428) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-11-19 |