NPI | 1174859656 |
---|---|
Former Name | KENIA RIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79478) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2020-09-14 |