Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1194067249 |
---|---|
Provider Name | Cari Joy Hansen |
First Address | Carson City, NV 89706-2251 |
Second Address | Carson City, NV 89706-2251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 06/05/2013 |