| NPI | 1396925384 |
|---|---|
| Former Name | DEBRA LYNN STUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12486) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 4244) |
| 1041C0700X Social Worker, Clinical (Licence: CO 992201) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2020-04-08 |