| NPI | 1821408659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICRUZ RAND Admin 702-882-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1164832390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-08-11 |