| NPI | 1780332098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNORIA P CHILDRESS SMITH Owner / Direct Supervisor 702-573-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |