NPI | 1548797053 |
---|---|
Former Name | VANESSA ELIZABETH RIVERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926083) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001974) |
104100000X Social Worker | |
Enumeration Date | 2017-05-15 |
Last Update Date | 2022-07-21 |