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 |