| NPI | 1518202688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDAL KELLY Therapist 702-785-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01002) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |