| NPI | 1326178310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T SHIODE President 702-384-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0244) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-06-19 |