| NPI | 1154612422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY SHIELDS Owner 702-340-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-966) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |