Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY23507 | CA |
NPI | 1093068876 |
---|---|
Provider Name | Dr. Sujin Sabrina Gabel |
First Address | San Francisco, CA 94102-4305 |
Second Address | San Francisco, CA 94102-4305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2012 |
Last Update Date | 18/10/2012 |