Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CA |
NPI | 1003323676 |
---|---|
Provider Name | Katherine Eizabeth Enright |
First Address | North Tustin, CA 92705-2577 |
Second Address | Anaheim, CA 92805-2652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2018 |
Last Update Date | 04/01/2018 |