NPI | 1124450333 |
---|---|
Former Name | CRYSTEL NAYELI CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80613) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2013-07-30 |
Last Update Date | 2018-03-17 |