Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | ASW27507 | CA |
NPI | 1003129206 |
---|---|
Provider Name | Nancy Arce-Wallach |
First Address | Berkeley, CA 94704-2076 |
Second Address | Berkeley, CA 94704-2076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2010 |
Last Update Date | 24/01/2022 |