| NPI | 1033640719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREE MULLIN Owner 702-506-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PY06677) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY06677) |
| 103TF0000X Psychologist, Family (Licence: NV PY06677) | |
| 103TF0200X Psychologist, Forensic (Licence: NV PY06677) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-09-06 |