Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1013140813 |
---|---|
Provider Name | Mrs. Christina Mendez Delgado |
First Address | Pasadena, CA 91107-3464 |
Second Address | Pasadena, CA 91107-3464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2009 |
Last Update Date | 10/07/2017 |