Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | ASW101238 | CA |
NPI | 1003581026 |
---|---|
Provider Name | Sachiyo Hiji |
First Address | Camarillo, CA 93012-6790 |
Second Address | Camarillo, CA 93012-6790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2021 |
Last Update Date | 11/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56CC | ASPIRA (01) | CA |