| NPI | 1679877104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R JENSEN Marriage & Family Therapist 702-646-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |