| NPI | 1740753045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANA ELKINS Lcsw 520-838-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-07-31 |