Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 20161686769 | CO |
NPI | 1174073274 |
---|---|
Provider Name | Rajmatie Hardial-Hosein |
First Address | Arvada, CO 80004-2045 |
Second Address | Arvada, CO 80004-2045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2016 |
Last Update Date | 12/10/2016 |