NPI | 1114228269 |
---|---|
Former Name | DEBBIE RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085126-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011858) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2024-01-19 |