Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1265860324 |
---|---|
Provider Name | Dayahtra Rodgers |
First Address | Las Vegas, NV 89113-0772 |
Second Address | Las Vegas, NV 89113-0772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2013 |
Last Update Date | 28/10/2013 |