Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003277625 |
---|---|
Provider Name | Westlie Aguilar |
First Address | Grass Valley, CA 95945-6410 |
Second Address | Grass Valley, CA 95945-6410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2016 |
Last Update Date | 09/03/2016 |