Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | ASW60567 | CA |
NPI | 1003233982 |
---|---|
Provider Name | Mayumi Hara |
First Address | Los Angeles, CA 90007-3033 |
Second Address | Los Angeles, CA 90043-1227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 28/03/2014 |