Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1144505165 |
---|---|
Provider Name | Cynthia Rabb |
First Address | North Las Vegas, NV 89031-7917 |
Second Address | North Las Vegas, NV 89031-7917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2011 |
Last Update Date | 21/10/2011 |