| NPI | 1457984940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PREVOST Speech Language Pathologist/Owner 702-305-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |