| NPI | 1073768982 |
|---|---|
| Doing Business As | SANDAL A. KELLY PH.D., MFT |
| Entity Type | Organization |
| Authorized Contact | SANDAL ARLILLIAN KELLY Clinical Director 702-255-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV 02001) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2010-07-26 |