Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225C00000X | Rehabilitation Counselor |
NPI | 1215462890 |
---|---|
Provider Name | Isabel Crystina Santana |
First Address | National City, CA 91950-1204 |
Second Address | San Diego, CA 92120-3425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2017 |
Last Update Date | 14/09/2021 |