| NPI | 1053076166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE CHAFFEE Speech Language Pathologist 702-358-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |