Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1265081152 |
---|---|
Provider Name | Ms. Liana Sarksyan |
First Address | Panorama City, CA 91402 |
Second Address | Van Nuys, CA 91401-9140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2019 |
Last Update Date | 04/09/2019 |