Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ASW66877 | CA |
Y | 101YP2500X | Professional Counselor | 83199 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1275913709 |
---|---|
Provider Name | Molly Zive |
First Address | San Diego, CA 92103-2591 |
Second Address | San Diego, CA 92103-2591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2015 |
Last Update Date | 20/05/2020 |