| NPI | 1467819078 |
|---|---|
| Former Name | JOVELYN MARIA ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117316) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91877) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2021-12-01 |