Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 1041C0700X | Clinical Social Worker | LCSW70126 | CA |
NPI | 1003082819 |
---|---|
Provider Name | Ms. Liliana Munoz |
First Address | La Puente, CA 91746-3211 |
Second Address | La Puente, CA 91746-3211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 19/01/2016 |