Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 101YP1600X | CA |
NPI | 1134354624 |
---|---|
Provider Name | Ms. Shelby Marie Morales |
First Address | San Francisco, CA 94112-1727 |
Second Address | San Francisco, CA 94112-1727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2009 |
Last Update Date | 27/05/2009 |