Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | SS889 | FL |
NPI | 1063720092 |
---|---|
Provider Name | Jennifer Romero |
First Address | Southwest Ranches, FL 33332-1327 |
Second Address | Southwest Ranches, FL 33332-1327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2010 |
Last Update Date | 16/08/2015 |