Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1225274319 |
---|---|
Provider Name | Ms. Monica Rosenblum |
First Address | Los Angeles, CA 90015-3010 |
Second Address | Los Angeles, CA 90015-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2008 |
Last Update Date | 14/09/2015 |