Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1083253108 |
---|---|
Provider Name | Pamela Paola Urena |
First Address | Kissimmee, FL 34759-5961 |
Second Address | Saint Cloud, FL 34771-8410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2020 |
Last Update Date | 06/01/2020 |