| NPI | 1578011797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A LUCERO Owner 702-580-1039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202827) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |