Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 17647 | FL |
NPI | 1003258914 |
---|---|
Provider Name | Noraliz Nagarsheth |
First Address | Lake Mary, FL 32746-5712 |
Second Address | Lake Mary, FL 32746-5712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2013 |
Last Update Date | 02/04/2021 |