| 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 |