Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1073672895 |
---|---|
Provider Name | Karen Espinosa |
First Address | San Diego, CA 92154-3497 |
Second Address | San Diego, CA 92154-3497 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 22/03/2011 |