NPI | 1306189972 |
---|---|
Former Name | VANESSA CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106673) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2021-12-02 |