NPI | 1558099903 |
---|---|
Former Name | SUSANYELES CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-XARUCG) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-08-12 |
Last Update Date | 2023-05-30 |