Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1114223096 |
---|---|
Provider Name | Miss Sabrina Mishra |
First Address | Richmond, CA 94804-4555 |
Second Address | San Francisco, CA 94116-2923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2011 |
Last Update Date | 09/02/2011 |