Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1023274594 |
---|---|
Provider Name | Mrs. Mary Beth Rodriguez |
First Address | Tucson, AZ 85749-8220 |
Second Address | Tucson, AZ 85749-8220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |