| NPI | 1649610924 |
|---|---|
| Former Name | JANICE CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-02-21 |