NPI | 1497215859 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MAE CUNNINGHAM Lmft, Lpc 702-824-5561 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-03-21 |