Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY25224 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY25224 | CA |
NPI | 1013102664 |
---|---|
Provider Name | Dr. Cathliyn Elizabeth Buranahirun |
First Address | Los Angeles, CA 90027-6062 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 22/06/2015 |