Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 104100000X | Social Worker |
NPI | 1003378316 |
---|---|
Provider Name | Ms. Anjna Champaneri |
First Address | San Francisco, CA 94109-8090 |
Second Address | San Francisco, CA 94109-8090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2019 |
Last Update Date | 19/04/2019 |