| NPI | 1770853301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN NIELSEN Child And Family Therapist 623-640-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW1099) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |