Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1033524210 |
---|---|
Provider Name | Geneva E Hewitt |
First Address | Las Vegas, NV 89133-4831 |
Second Address | North Las Vegas, NV 89031-1908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 25/06/2014 |