Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1205035599 |
---|---|
Provider Name | Heather Lucinda Harrison |
First Address | Los Angeles, CA 90010-2501 |
Second Address | Los Angeles, CA 90010-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 07/05/2013 |