| NPI | 1770201659 |
|---|---|
| Former Name | CASEY MCKAY RIVARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 144619) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-01-29 |