Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1114531662 |
---|---|
Provider Name | Dr. Victoria Amparo Rodriguez |
First Address | Cape Coral, FL 33909-5422 |
Second Address | Cape Coral, FL 33909-5422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2020 |
Last Update Date | 02/09/2020 |