Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY8993 | FL |
Y | 103T00000X | Psychologist | PY8993 | FL |
NPI | 1003233081 |
---|---|
Provider Name | Vanessa Ramirez |
First Address | Hialeah, FL 33012-5874 |
Second Address | Hialeah, FL 33012-5874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 27/03/2014 |