| NPI | 1710246921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA EWELL Managing Member 702-752-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |