Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 32635 | CA |
Y | 103TC0700X | Clinical Psychologist | 32635 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1255804175 |
---|---|
Provider Name | Karen E Winter |
First Address | San Rafael, CA 94903-1951 |
Second Address | San Rafael, CA 94901-2084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2019 |
Last Update Date | 13/06/2021 |