| NPI | 1265808133 |
|---|---|
| Former Name | ANDREA CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LSCW101715) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW73865) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW73865) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2021-06-07 |