Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 30454 | CA |
Y | 103TC0700X | Clinical Psychologist | 30454 | CA |
N | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1033447339 |
---|---|
Provider Name | Alina Whitmore |
First Address | Riverside, CA 92508-5084 |
Second Address | Riverside, CA 92508-5084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2009 |
Last Update Date | 16/03/2020 |