| NPI | 1063659373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ILENE KOCH Speech Language Pathologist/Owner 702-278-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-290) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |