| NPI | 1336190115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CRUJIDO Owner/Administrator 928-777-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-3469) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 0732) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |