| NPI | 1285520163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYN ROMERO Clinical Professional Counselor 702-738-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |