Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1043706096 |
---|---|
Provider Name | Danielle R Kumanchik |
First Address | Woodland Hills, CA 91365-6691 |
Second Address | Ventura, CA 93003-9134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2018 |
Last Update Date | 03/09/2019 |