Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1104944941 |
---|---|
Provider Name | Mrs. Sheila Marie Gaston-Cruz |
First Address | Anaheim, CA 92801-1120 |
Second Address | Anaheim, CA 92801-1120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 23/09/2015 |