| NPI | 1063117265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAELLA DOUTIS Speech Language Pathologist 702-499-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-13 |