NPI | 1952324253 |
---|---|
Professional Name | MELISSA ORTIZ-MATOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7318) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8182) |
103TC0700X Psychologist, Clinical (Licence: FL PY7318) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2016-12-21 |