Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | CA20042 | CA |
NPI | 1063048130 |
---|---|
Provider Name | Dr. Kayoko Yokoyama |
First Address | El Cerrito, CA 94530-3239 |
Second Address | Albany, CA 94706-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2020 |
Last Update Date | 20/03/2020 |