Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 46866 | CA |
NPI | 1003132945 |
---|---|
Provider Name | Valerie Torres |
First Address | Pacific Grove, CA 93950-2217 |
Second Address | Pacific Grove, CA 93950-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 16/04/2010 |