| NPI | 1508263393 |
|---|---|
| Former Name | ANGELA CHAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14782) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24547) |
| 101YM0800X Counselor, Mental Health (Licence: NC 14782) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2021-04-29 |