Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1073118782 |
---|---|
Provider Name | Veronica Nakla |
First Address | Rancho Cucamonga, CA 91730-5340 |
Second Address | Rancho Cucamonga, CA 91730-5340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2020 |
Last Update Date | 01/12/2020 |