Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003064361 |
---|---|
Provider Name | Mrs. Yessenia Ramirez |
First Address | Los Angeles, CA 90063-1242 |
Second Address | Los Angeles, CA 90063-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 28/08/2008 |