Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1245657154 |
---|---|
Provider Name | Ms. Miriam Zuniga |
First Address | Los Angeles, CA 90003-4823 |
Second Address | Los Angeles, CA 90003-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 28/03/2014 |