| NPI | 1245521244 |
|---|---|
| Former Name | SHERRI L RIVERA/JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-06-02) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2019-04-03 |