Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ASW62352 | CA |
Y | 104100000X | Social Worker | LCSW77198 | CA |
NPI | 1003217829 |
---|---|
Provider Name | Naama Ratzersdorfer |
First Address | Los Angeles, CA 90064-4178 |
Second Address | Los Angeles, CA 90064-4178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2014 |
Last Update Date | 25/08/2021 |