| NPI | 1619967015 |
|---|---|
| Former Name | ANGELICA CHAVARRIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3752) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6874) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2011-01-21 |