| NPI | 1104379882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE M BROWN Owner/Member 888-320-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0405) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-08-28 |