Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003276833 |
---|---|
Provider Name | Ms. Katia Jasmin Robinson Lucero |
First Address | Lehigh Acres, FL 33976-2949 |
Second Address | Cape Coral, FL 33904-7154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2016 |
Last Update Date | 08/01/2021 |