Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW 7213 | FL |
NPI | 1003103417 |
---|---|
Provider Name | Martha A Descart |
First Address | Miami, FL 33179-4248 |
Second Address | Miami, FL 33179-4248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |