NPI | 1932581352 |
---|---|
Former Name | KIMBERLY RIVERA FLORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 104961) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 104961) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2023-05-22 |