| NPI | 1811674732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNAYDIA N NELSON-WRENCHER Clinical Professional Counselor 702-695-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-30 |