Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | CA | |
N | 101YM0800X | Mental Health Counselor | CA | |
N | 101YM0800X | Mental Health Counselor | 69204 | CA |
N | 101YP2500X | Professional Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 69204 | CA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1033304845 |
---|---|
Provider Name | Mrs. Sheila Alfaro |
First Address | Monrovia, CA 91016-5112 |
Second Address | Monrovia, CA 91016-5112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2007 |
Last Update Date | 10/09/2020 |