| NPI | 1952735169 |
|---|---|
| Former Name | SHAKEENA YVETTE RISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010003) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2595) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2022-09-29 |