Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY23017 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY23017 | CA |
N | 103TH0100X | Health Service | DMH WAIVER | CA |
NPI | 1639329469 |
---|---|
Provider Name | Dr. Christina Diane Marrero-Howieson |
First Address | Santa Monica, CA 90405 |
Second Address | Santa Monica, CA 90405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2008 |
Last Update Date | 07/08/2017 |