Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MC60898447 | WA |
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1184199846 |
---|---|
Provider Name | Anna Cutter |
First Address | Pasadena, CA 91107-3406 |
Second Address | Monrovia, CA 91016-3427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2018 |
Last Update Date | 21/07/2021 |