NPI | 1598396483 |
---|---|
Former Name | AMBER CELESTE CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78192) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14128) |
104100000X Social Worker (Licence: TX 58613) | |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-02-13 |