Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003110396 |
---|---|
Provider Name | Margaret Knight |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-1953 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2010 |
Last Update Date | 05/08/2016 |