| NPI | 1225265986 |
|---|---|
| Former Name | SHAVONDA DENISE RIVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P005024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P005024) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: NC P005024) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2014-10-29 |