Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 225X00000X | Occupational Therapist | 22679 | CA |
Y | 225XM0800X | Mental Health |
NPI | 1003583600 |
---|---|
Provider Name | Ruth Yeh |
First Address | Cary, NC 27519-5501 |
Second Address | San Diego, CA 92120-3425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2021 |
Last Update Date | 02/02/2022 |