| NPI | 1750694253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE ELAINE JOHNSON Director 702-434-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01060) |
| Additional Taxonomies | 251S00000X (Licence: NV 01060) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-10-19 |