Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH16066 | FL |
N | 103K00000X | Behavior Analyst |
NPI | 1003340589 |
---|---|
Provider Name | Maura Patricia Espinosa Rodriguez |
First Address | Miami, FL 33174-1346 |
Second Address | Miami, FL 33174-1346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2017 |
Last Update Date | 14/08/2021 |