| NPI | 1346994480 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L STEPHENSON Owner And Clinician 702-701-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |