Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1245368414 |
---|---|
Provider Name | Maria G Washington |
First Address | Duarte, CA 91010 |
Second Address | Duarte, CA 91010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 21/09/2015 |