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Individual

MRS. WANDA YADIRA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DRA

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
192
PR
103TC1900X
Counseling Psychologist
Primary
978
PR

Other

Enumeration date
05/23/2007
Last updated
09/11/2025
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