| NPI | 1760644041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JUUL Licxensed Clinical Social Worker 775-867-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 2940-C) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |