| Doctor Name: | MS. VASANTHA MUNOZ |
| NPI Number: | 1134451339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4036915 |
| Business Practice Address: | 1004 Hancock Rd Bullhead City, AZ - 864425946 |
| Business Phone Number: | 9287583961 |
| Business Fax Number: | |
| Mailing Address: | 1004 Hancock Rd, BULLHEAD CITY |
| State: | AZ |
| Postal Code: | 864425946 |
| Phone Number: | 9287583961 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2010 |
| NPI Last Update Date: | 02/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 4036915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |