Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health |
NPI | 1568990570 |
---|---|
Provider Name | Christina Jeannette Knight |
First Address | Miami, FL 33125-2235 |
Second Address | Miami, FL 33155-6540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2017 |
Last Update Date | 03/06/2017 |