Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | LCS12838 | CA |
NPI | 1033385968 |
---|---|
Provider Name | Naomi Sakai |
First Address | Davis, CA 95616-5270 |
Second Address | Davis, CA 95616-5270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 30/04/2008 |