Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1114485802 |
---|---|
Provider Name | Talia Sternberg |
First Address | Denver, CO 80204-5126 |
Second Address | Denver, CO 80204-5126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2019 |
Last Update Date | 12/03/2019 |