Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW 9371 | FL |
NPI | 1003048422 |
---|---|
Provider Name | Ms. Norys T Fernandez |
First Address | Miami, FL 33156-2952 |
Second Address | South Miami, FL 33143-5331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2009 |
Last Update Date | 08/06/2011 |