Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003088204 |
---|---|
Provider Name | Dolores Estrada |
First Address | North Hollywood, CA 91606-1538 |
Second Address | North Hollywood, CA 91606-1538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 26/06/2015 |