NPI | 1134771710 |
---|---|
Former Name | JOHANNA KATHERINE CHEVRIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61572473) |
Additional Taxonomies | 101Y00000X Counselor |
175T00000X Peer Specialist | |
Enumeration Date | 2019-07-12 |
Last Update Date | 2025-01-07 |