| NPI | 1497189666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADORA GODOROV Owner/Director 702-742-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV NV20131474316) |
| Additional Taxonomies | 174400000X Specialist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2017-01-30 |