Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 1041C0700X | Clinical Social Worker | ASW60696 | CA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1033410444 |
---|---|
Provider Name | Dolores J Gonzalez |
First Address | Glendale, CA 91214-1700 |
Second Address | Pasadena, CA 91106-1868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2010 |
Last Update Date | 03/05/2020 |