Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003136557 |
---|---|
Provider Name | Jesenia Sanchez |
First Address | Salt Lake City, UT 84102-2110 |
Second Address | Salt Lake City, UT 84102-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 08/06/2010 |