| NPI | 1760195572 |
|---|---|
| Former Name | CASSANDRA IRENE RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2025-08-19 |