NPI | 1467255703 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA SHERWOOD Licensed Psychologist 702-323-8355 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-04-02 |