Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1336562420 |
---|---|
Provider Name | Sonia Rodriguez |
First Address | Fresno, CA 93722-6051 |
Second Address | Fresno, CA 93722-6051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2014 |
Last Update Date | 11/09/2018 |