| NPI | 1841800687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKELLA SAMPSON Owner 702-748-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |