| NPI | 1588233985 |
|---|---|
| Former Name | EMILY ANNE ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A16548) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-339) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |