| NPI | 1912666207 |
|---|---|
| Former Name | EFRAIN ORTIZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PR 4849) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |