NPI | 1326680232 |
---|---|
Former Name | GABRIELA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3601) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11979) |
101YM0800X Counselor, Mental Health (Licence: NE 5884) | |
Enumeration Date | 2019-10-11 |
Last Update Date | 2024-07-12 |