Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1114412954 |
---|---|
Provider Name | Stephanie Merisier |
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 | 25/06/2018 |
Last Update Date | 25/06/2018 |