Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY9540 | FL |
Y | 103T00000X | Psychologist | PY9540 | FL |
NPI | 1003331646 |
---|---|
Provider Name | Norella S. Jubiz |
First Address | Miami, FL 33129-1202 |
Second Address | Coral Gables, FL 33145-2630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2017 |
Last Update Date | 04/08/2017 |