Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH10019 | FL |
NPI | 1003131145 |
---|---|
Provider Name | Mrs. Patricia S Sulichin Rotsztain |
First Address | Aventura, FL 33180-2460 |
Second Address | Boca Raton, FL 33431-8510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 01/04/2010 |