| NPI | 1942059431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHAYNE RUIZ-LEE Owner 702-265-8436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |