Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1114340221 |
---|---|
Provider Name | Irene Holquin |
First Address | Downey, CA 90241-4905 |
Second Address | Signal Hill, CA 90755-4620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2014 |
Last Update Date | 28/06/2017 |