| NPI | 1922685320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN MARIE KELHETTER Speech Language Pathologist 775-741-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |