Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | FL |
NPI | 1235609371 |
---|---|
Provider Name | Joanne Farthing |
First Address | Winter Haven, FL 33881-9200 |
Second Address | Winter Haven, FL 33881-9200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2018 |
Last Update Date | 02/12/2018 |