| NPI | 1831912013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA L MARINO Owner 702-637-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |