Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 103G00000X | Clinical Psychologist | PSB94025175 | CA |
Y | 103TC0700X | Clinical Psychologist | PSB94025175 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1275909178 |
---|---|
Provider Name | Katherine Sheu |
First Address | Torrance, CA 90505-6141 |
Second Address | Torrance, CA 90505-6141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2015 |
Last Update Date | 01/11/2021 |