| 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 |