Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY 24477 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 24477 | CA |
NPI | 1003190489 |
---|---|
Provider Name | Candy Ho Katoa |
First Address | San Francisco, CA 94143-2211 |
Second Address | San Francisco, CA 94143-2211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2011 |
Last Update Date | 04/10/2011 |