NPI | 1790262202 |
---|---|
Former Name | OLIVIA RIVAS DEL RIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 60871230) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-07-26 |
Last Update Date | 2020-11-13 |