Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1104342211 |
---|---|
Provider Name | Katalin Szabo |
First Address | San Francisco, CA 94115-3925 |
Second Address | San Rafael, CA 94901-2142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2017 |
Last Update Date | 12/03/2021 |