| NPI | 1376776492 |
|---|---|
| Professional Name | SHANNON CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist Health Service (Licence: CA PSY26924) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY26924) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2019-09-23 |