| NPI | 1790439404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY COSNER Owner 702-625-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |