Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1477790319 |
---|---|
Provider Name | Ms. Natalie Olivia Orosco |
First Address | San Diego, CA 92128-3318 |
Second Address | San Diego, CA 92128-3318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2009 |
Last Update Date | 14/01/2009 |