Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1194029009 |
---|---|
Provider Name | Sally Holzer |
First Address | Carson City, NV 89706-0782 |
Second Address | Pahrump, NV 89048-2199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2011 |
Last Update Date | 06/01/2011 |