Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YS0200X | School Counselor |
NPI | 1124537220 |
---|---|
Provider Name | Patricia Louissaint |
First Address | Pompano Beach, FL 33060-5621 |
Second Address | Pompano Beach, FL 33060-5621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 21/09/2017 |