Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YM0800X | Mental Health Counselor | PRC2000012 | DC |
N | 104100000X | Social Worker |
NPI | 1003126160 |
---|---|
Provider Name | Andrea Carolina Florez Marino |
First Address | Cheektowaga, NY 14225-1950 |
Second Address | Buffalo, NY 14201-1886 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2010 |
Last Update Date | 02/09/2021 |