Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 21704 | CA |
NPI | 1063690170 |
---|---|
Provider Name | Anya Christine Ho |
First Address | San Francisco, CA 94123-4426 |
Second Address | San Francisco, CA 94123-4426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 17/06/2014 |