Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 11574 | NE |
NPI | 1225518335 |
---|---|
Provider Name | Natasha Hall |
First Address | La Vista, NE 68128-5720 |
Second Address | La Vista, NE 68128-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2018 |
Last Update Date | 17/08/2018 |