Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1235389032 |
---|---|
Provider Name | Darla Marie Scott |
First Address | Moorpark, CA 93021-2036 |
Second Address | Camarillo, CA 93012-8520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 29/09/2008 |