NPI | 1457144511 |
---|---|
Former Name | JENNIFER RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT153764) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: APCC19096) |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-05-22 |