Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003183898 |
---|---|
Provider Name | Miss Julianna Kristina Dragos |
First Address | Oakland, CA 94611-5534 |
Second Address | Oakland, CA 94611-5534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2011 |
Last Update Date | 21/11/2011 |