Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | PSB94023436 | CA |
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1003045980 |
---|---|
Provider Name | Genevieve Giselle Simari |
First Address | Los Angeles, CA 90007-3033 |
Second Address | Los Angeles, CA 90007-4203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 18/06/2019 |