| NPI | 1215293543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ELIZABETH TERRY Lcpc 702-257-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0007) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |