| NPI | 1063877215 |
|---|---|
| Former Name | JOSEPHINE MARIE CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041S0200X Social Worker, School | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-06-27 |