Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 225400000X | Rehabilitation Practitioner | ||
Y | 225XM0800X | Mental Health |
NPI | 1689834772 |
---|---|
Provider Name | Francia Rolda |
First Address | Los Angeles, CA 90044-3493 |
Second Address | Los Angeles, CA 90044-3493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 02/03/2020 |