Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 13349 | CA |
Y | 103TC0700X | Clinical Psychologist | 13349 | CA |
NPI | 1003245895 |
---|---|
Provider Name | Alexandra Union |
First Address | Sonora, CA 95370-4828 |
Second Address | Sonora, CA 95370-4828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2013 |
Last Update Date | 17/03/2018 |