Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 16155 | CA |
NPI | 1003091240 |
---|---|
Provider Name | Ms. Yvonne Diane Escarsega |
First Address | Oakland, CA 94602-1018 |
Second Address | Oakland, CA 94602-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |