| 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 |