| NPI | 1548591738 |
|---|---|
| Former Name | RAFAEL CHAVEZ-REYES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW101637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101637) |
| 104100000X Social Worker (Licence: CA 68448) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 68448) | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2023-06-14 |