Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor |
NPI | 1235575143 |
---|---|
Provider Name | Maria Cardenas Gines |
First Address | Pacifica, CA 94044-1839 |
Second Address | Pacifica, CA 94044-1839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 17/05/2013 |