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 |