Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003242405 |
---|---|
Provider Name | Mrs. Maria D Ocampo |
First Address | Clearwater, FL 33755-5361 |
Second Address | Clearwater, FL 33755-5361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2013 |
Last Update Date | 18/09/2013 |