Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 104100000X | Social Worker |
NPI | 1003369570 |
---|---|
Provider Name | Miss Cristina Montes De Oca |
First Address | Altamonte Springs, FL 32714-3538 |
Second Address | Altamonte Springs, FL 32714-3538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2016 |
Last Update Date | 12/04/2017 |