NPI | 1235564691 |
---|---|
Former Name | AMBER CECELIA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY28342) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2013-09-04 |
Last Update Date | 2022-08-12 |