| NPI | 1205699378 |
|---|---|
| Former Name | JOSSY D RIVADENEIRA ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22552) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-08-15 |