Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1154589943 |
---|---|
Provider Name | Silvia Cisneros |
First Address | Las Vegas, NV 89120-1961 |
Second Address | Las Vegas, NV 89120-1961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 25/03/2014 |