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 |