| NPI | 1528420163 |
|---|---|
| Former Name | MAYRA RIVAS GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 114182) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 84462) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-05-01 |