| NPI | 1841848116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE STEWART Office Manager 702-659-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-08-12 |