Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | FL |
NPI | 1003219841 |
---|---|
Provider Name | Latoya Knight |
First Address | Greenacres, FL 33463-3807 |
Second Address | Greenacres, FL 33463-3807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2014 |
Last Update Date | 31/03/2015 |