NPI | 1053198507 |
---|---|
Other Name | CHRISSY NIEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016723) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LACS-28580) |
Enumeration Date | 2023-09-08 |
Last Update Date | 2024-04-19 |