| NPI | 1255706073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIE MOORE Psychologist 775-786-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NV 129941) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |