Individual
SUMARI OMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 17TH ST APT C, SARASOTA, FL 34234-7520
(941) 210-0384
(941) 210-0783
Mailing address
1945 17TH ST APT C, SARASOTA, FL 34234-7520
(941) 210-0384
(941) 210-0783
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1497
FL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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