NPI | 1053544965 |
---|---|
Former Name | SUSAN CHAVARELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 27225) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2009-08-26 |
Last Update Date | 2024-09-30 |