Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003161803 |
---|---|
Provider Name | Mrs. Sofia Lupian Hernandez |
First Address | Whittier, CA 90603-2042 |
Second Address | Whittier, CA 90603-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2012 |
Last Update Date | 06/02/2014 |