Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 210154191 | CA |
NPI | 1124795356 |
---|---|
Provider Name | Melody Hashemieh |
First Address | Tarzana, CA 91356-5022 |
Second Address | Ventura, CA 93003-9134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2021 |
Last Update Date | 25/08/2021 |