| NPI | 1417415464 |
|---|---|
| Former Name | WANDA S ORTIZ CAMINITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 98196273501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6307) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW13132) | |
| 1041C0700X Social Worker, Clinical (Licence: NM C2154) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |