| NPI | 1154690485 |
|---|---|
| Former Name | RITA ANTONIA RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 15005) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401012163) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-11-06 |