Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1306319777 |
---|---|
Provider Name | Tanika Rice |
First Address | Baltimore, MD 21234-2103 |
Second Address | Baltimore, MD 21214-1329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2019 |
Last Update Date | 08/01/2019 |