NPI | 1225434384 |
---|---|
Former Name | TIFFANIE ORTEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NM M-10995) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-11-17 |
Last Update Date | 2020-12-08 |