Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY6994 | FL |
Y | 103T00000X | Psychologist | PY6994 | FL |
N | 103G00000X | Clinical Psychologist | PY6994 | FL |
N | 103TC0700X | Clinical Psychologist | PY6994 | FL |
N | 103TC1900X | Counseling Psychologist | PY6994 | FL |
NPI | 1023121894 |
---|---|
Provider Name | Dr. Nilsa Rivera |
First Address | Naples, FL 34101-9168 |
Second Address | Naples, FL 34102-5613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 21/11/2008 |