Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MH5765 | FL |
NPI | 1003036906 |
---|---|
Provider Name | Mrs. Maria P. Buda O'toole |
First Address | Dunedin, FL 34698-2054 |
Second Address | Clearwater, FL 33765-3344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |