Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1073042362 |
---|---|
Provider Name | Darrian Raquel Silva |
First Address | Las Vegas, NV 89119-0395 |
Second Address | Las Vegas, NV 89145-5343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2017 |
Last Update Date | 21/06/2017 |