| NPI | 1942764428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E FREY Owner 702-919-6519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-06-11 |