Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY13933 | CA |
NPI | 1073679007 |
---|---|
Provider Name | Suzanne Rhonda Onikul-Ross |
First Address | Irvine, CA 92606-3100 |
Second Address | Irvine, CA 92606-5107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 22/05/2017 |