NPI | 1003299520 |
---|---|
Former Name | ANNA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115083) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 115083) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2025-03-31 |