| NPI | 1942834965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY LYN LEDESMA Therapist 702-854-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-04-05 |