Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1104304807 |
---|---|
Provider Name | Jennifer Marie Ortiz-Arriaga |
First Address | Buffalo, NY 14202-1932 |
Second Address | Buffalo, NY 14202-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2018 |
Last Update Date | 03/08/2018 |