| NPI | 1851002422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISADORIS OTANO GUTIERREZ Owner 702-912-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |