| NPI | 1770142051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMMA GRACE RIVERA Co Founder 702-379-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |