Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ASW102987 | CA |
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1013040310 |
---|---|
Provider Name | Mrs. Gabriela Sanchez |
First Address | Azusa, CA 91702-3012 |
Second Address | Covina, CA 91724-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 17/08/2021 |