NPI | 1346658523 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELL M MIHELIC Licensed Clinical Psychologist 702-738-4472 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NV PY0722) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PY0721) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2014-07-31 |