Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0700X | Adult Development & Aging Psychologist | MFT31838 | CA |
NPI | 1568127306 |
---|---|
Provider Name | Aline Lapierre |
First Address | Los Angeles, CA 90049-4023 |
Second Address | Los Angeles, CA 90049-4023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2021 |
Last Update Date | 06/11/2021 |