Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 31013 | CA |
Y | 103TC0700X | Clinical Psychologist | 31013 | CA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1013165836 |
---|---|
Provider Name | Dr. Julie Sanchez |
First Address | Winnetka, CA 91306-2585 |
Second Address | Winnetka, CA 91306-2585 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 23/10/2019 |