Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1255748133 |
---|---|
Provider Name | Desiree Schumann |
First Address | Dayton, NV 89403-8023 |
Second Address | Reno, NV 89501-1741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2014 |
Last Update Date | 12/07/2014 |