| NPI | 1184590796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MARIE HORRISLAND Speech Language Pathologist 702-218-7484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2026-02-05 |