Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YP1600X | Pastoral Counselor | ||
N | 104100000X | Social Worker |
NPI | 1083856405 |
---|---|
Provider Name | Setima Kimo Uila |
First Address | San Francisco, CA 94103-4411 |
Second Address | San Francisco, CA 94103-4411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2009 |
Last Update Date | 16/04/2010 |