| NPI | 1174291355 |
|---|---|
| Former Name | MARISSA ORTAGUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015375) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082327) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-02-24 |