Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 80844 | CA |
NPI | 1003323361 |
---|---|
Provider Name | Maria De La Luz Torres |
First Address | Turlock, CA 95381-2770 |
Second Address | Stockton, CA 95202-2026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2018 |
Last Update Date | 08/10/2021 |