Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 103KOOOOOX | NV |
NPI | 1750636577 |
---|---|
Provider Name | Ms. Sabrina Porras |
First Address | Las Vegas, NV 89183 |
Second Address | Las Vegas, NV 89183-6286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 18/07/2012 |