Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LCSW76973 | CA |
NPI | 1003100553 |
---|---|
Provider Name | Alejandra Ramirez |
First Address | Los Angeles, CA 90038 |
Second Address | Los Angeles, CA 90038-1612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 12/10/2021 |