| NPI | 1467727628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEIGH BAGE Co Owner 775-657-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV M01168) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-21 |