Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | CBHCMP101054 | FL |
NPI | 1003419235 |
---|---|
Provider Name | Yeliany Sanchez |
First Address | Miami, FL 33186-6190 |
Second Address | Miami, FL 33186-6190 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2020 |
Last Update Date | 19/11/2020 |