| NPI | 1508043134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FORNI Director 702-622-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1055) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |