| NPI | 1326721028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WALLISCH Speech Language Pathologist/ CEO 702-213-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |