| NPI | 1023555026 |
|---|---|
| Former Name | TAMARA LIZ RIVERA BORIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM t-ctl0207281) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-02-03 |