| NPI | 1578202750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA DE LUNA OLIVARES CEO 702-476-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |