| NPI | 1487172987 |
|---|---|
| Former Name | SAMANTHA NICOLE RIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33928) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-01-08 |