Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003141987 |
---|---|
Provider Name | Jaskara L Castillo |
First Address | Orlando, FL 32808-5646 |
Second Address | Orlando, FL 32808-5646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2009 |
Last Update Date | 09/10/2009 |