Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 21540 | CA |
NPI | 1003154030 |
---|---|
Provider Name | Ms. Sandra Kaiser Kaumaya |
First Address | Cerritos, CA 90703-2548 |
Second Address | Cerritos, CA 90703-2548 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2013 |
Last Update Date | 25/01/2013 |