Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSB94024220 | CA |
NPI | 1073076899 |
---|---|
Provider Name | Dr. Maria Carina Abenes |
First Address | Bellflower, CA 90706-3314 |
Second Address | Cerritos, CA 90703-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2019 |
Last Update Date | 09/04/2019 |