| NPI | 1376298703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE RODRIGUEZ Speech Language Pathologist, Owner 702-970-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-07-18 |