Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003022971 |
---|---|
Provider Name | Farzaneh Farhand |
First Address | Aliso Viejo, CA 92656-4212 |
Second Address | Santa Ana, CA 92704-6823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 15/12/2011 |