| NPI | 1912925017 |
|---|---|
| Other Name | JENNIFER RIVERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MN 02466) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00008407) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60181716) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00008407) | |
| 101YP2500X Counselor, Professional (Licence: MN 00212) | |
| 251S00000X (Licence: WA LH00008407) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-08-27 |