Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ASW91930 | CA |
Y | 104100000X | Social Worker | ASW91930 | CA |
NPI | 1003228420 |
---|---|
Provider Name | Gabriela Gonzalez Mcnamara |
First Address | Sacramento, CA 95826-3221 |
Second Address | Sacramento, CA 95826-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2014 |
Last Update Date | 18/03/2021 |