Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1205034329 |
---|---|
Provider Name | Mrs. Karen Louise Hanneman |
First Address | Santa Maria, CA 93455-3924 |
Second Address | Santa Barbara, CA 93110-1332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 10/07/2007 |