Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1306471206 |
---|---|
Provider Name | Araseli Cruz |
First Address | Huntington Park, CA 90255-6995 |
Second Address | Huntington Park, CA 90255-6995 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2020 |
Last Update Date | 19/03/2020 |