| NPI | 1265891402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANNETTE FADER Owner/President 702-810-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F15000022) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |