| NPI | 1740489137 |
|---|---|
| Former Name | CARMEN J ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701006505) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC PRC14584) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2016-03-18 |