| NPI | 1356736474 |
|---|---|
| Former Name | LEILANI RENA CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NV PA132) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-08-26 |