Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | IMF 57496 | CA |
NPI | 1043451438 |
---|---|
Provider Name | Mrs. Rebecca Elizabeth Zulim |
First Address | Santa Cruz, CA 95060 |
Second Address | Santa Cruz, CA 95060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2009 |
Last Update Date | 30/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
IMF 57496 | IMF (01) | CA |