Individual
BRANDY RIVERA
Active
Individual
BRANDY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225700000X
Massage Therapist
MA 60191640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 60191640
MASSAGE PRACTITIONER LICENSE
WA
Enumeration date
07/01/2013
Last updated
04/08/2025
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