NPI | 1225491491 |
---|---|
Former Name | ERICA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 10463) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA 109694) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2024-08-21 |