Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 26298 | CA |
NPI | 1003140534 |
---|---|
Provider Name | Sheila Louise Hammer |
First Address | Sylmar, CA 91392-1485 |
Second Address | Glendale, CA 91204-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2009 |
Last Update Date | 30/09/2009 |