ANGIE SOPHIA IRAHETA

SHERMAN OAKS, CA
NPI1063929693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW84476)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-01-04
Last Update Date2018-11-30
Business Address
Miss ANGIE SOPHIA IRAHETA
13130 BURBANK BLVD
SHERMAN OAKS, CA 91401
Phone number: 818-781-0360
Mailing Address
Miss ANGIE SOPHIA IRAHETA
13130 BURBANK BLVD
SHERMAN OAKS, CA 91401-6000
Phone number: 818-781-0360