| NPI | 1053820928 |
|---|---|
| Former Name | MICHELL RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2025-05-20 |