Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH9863 | FL |
NPI | 1003149238 |
---|---|
Provider Name | Audrey D Mcfarland |
First Address | Miami, FL 33122-1271 |
Second Address | Miami, FL 33122-1271 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2009 |
Last Update Date | 04/09/2009 |