Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1073053401 |
---|---|
Provider Name | Ana Isabel Garcia |
First Address | Sunrise, FL 33323-2682 |
Second Address | Sunrise, FL 33325-6244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2017 |
Last Update Date | 04/03/2017 |