| NPI | 1609358472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA REAVES Mental Health Therapist 702-595-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0148) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |