Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 104100000X | Social Worker | ||
Y | 1041C0700X | Clinical Social Worker | 101939 | CA |
NPI | 1003213729 |
---|---|
Provider Name | Kathleen Winistorfer |
First Address | Sacramento, CA 95826-3221 |
Second Address | Sacramento, CA 95826-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 01/07/2021 |