Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH 7486 | FL |
NPI | 1003065145 |
---|---|
Provider Name | Mrs. Cindy Ricardo Lanauze |
First Address | Coral Springs, FL 33065-4048 |
Second Address | Coral Springs, FL 33065-4048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2008 |
Last Update Date | 12/09/2008 |