NPI | 1467972976 |
---|---|
Former Name | JESSICA RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8321-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
Enumeration Date | 2017-06-26 |
Last Update Date | 2024-06-10 |