Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003067273 |
---|---|
Provider Name | Sarah M. Powell |
First Address | Los Angeles, CA 90061-2730 |
Second Address | Los Angeles, CA 90061-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2008 |
Last Update Date | 29/06/2021 |