| NPI | 1518588136 |
|---|---|
| Former Name | MARISSA L ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111925) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 89504) |
| 101YM0800X Counselor, Mental Health (Licence: CA 89504) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2025-09-21 |