Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY31236 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY31236 | CA |
N | 225C00000X | Rehabilitation Counselor | CA |
NPI | 1164836672 |
---|---|
Provider Name | Miss Rosmeri Marin Guerrero |
First Address | Culver City, CA 90230-5805 |
Second Address | Van Nuys, CA 91405-4076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 19/09/2019 |