| NPI | 1841532074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREANA ROBINSON Owner 702-375-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |