Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 101YS0200X | School Counselor | ||
N | 103K00000X | Behavior Analyst | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 126800000X | Dental Assistant | FL |
NPI | 1114692779 |
---|---|
Provider Name | Miss Maria Helena Nogueira Stopyra |
First Address | Fort Pierce, FL 34951-2865 |
Second Address | Port Saint Lucie, FL 34986-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2021 |
Last Update Date | 14/08/2021 |