Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | DOCUMENT#040085151 | CA |
N | 225700000X | Massage Therapist | AMTA # 1117 | CA |
N | 225X00000X | Occupational Therapist | OT6419 | CA |
NPI | 1144554593 |
---|---|
Provider Name | Ms. Jane Maureen Delehanty |
First Address | Shingletown, CA 96088-9665 |
Second Address | Shingletown, CA 96088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 01/10/2009 |