Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MI0947 | NV |
NPI | 1003252263 |
---|---|
Provider Name | Ms. Ramona Muzquiz |
First Address | Las Vegas, NV 89119-5280 |
Second Address | Las Vegas, NV 89119-5280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2013 |
Last Update Date | 23/07/2020 |