| NPI | 1710792650 |
|---|---|
| Former Name | CATHLEEN RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G183254) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |