Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1013225259 |
---|---|
Provider Name | Armine Gevorkyan |
First Address | Los Angeles, CA 90010-2533 |
Second Address | Los Angeles, CA 90010-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2010 |
Last Update Date | 12/03/2014 |