Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1033417720 |
---|---|
Provider Name | Roxanne Aronson |
First Address | Las Vegas, NV 89104-3310 |
Second Address | Las Vegas, NV 89130-3180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2011 |
Last Update Date | 18/02/2020 |