Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY19573 | CA |
Y | 103T00000X | Psychologist | PSY19573 | CA |
NPI | 1003833906 |
---|---|
Provider Name | Sarwat Bashir Waraich |
First Address | Brea, CA 92821-5805 |
Second Address | Brea, CA 92821-5805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 24/01/2022 |