| NPI | 1356775381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADORA GODOROV Owner/Director 702-742-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2017-01-30 |