| NPI | 1942991484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA IREILIS PAGAN Licensed Professional Counselor 702-354-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-06-28 |