Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TS0200X | School Psychologist | SS255 | FL |
N | 1041C0700X | Clinical Social Worker | SW300 | FL |
NPI | 1043359862 |
---|---|
Provider Name | Dr. Lois Puliver Krop |
First Address | Aventura, FL 33180-2319 |
Second Address | Aventura, FL 33180-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |