NPI | 1255694766 |
---|---|
Professional Name | BRENDA ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 1120892) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2023-04-18 |