NPI | 1538284112 |
---|---|
Former Name | MONICA ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1792) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013842-1) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-04-15 |