Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 106E00000X | Assistant Behavior Analyst | 0-18-9102 |
NPI | 1043786650 |
---|---|
Provider Name | Saree Hamm |
First Address | Santa Cruz, CA 95060-2178 |
Second Address | Santa Cruz, CA 95060-2178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2018 |
Last Update Date | 03/04/2019 |