NPI | 1861940835 |
---|---|
Former Name | KAYLA LEONOR ORTIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93389) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2016-09-19 |
Last Update Date | 2023-09-26 |