NPI | 1770816183 |
---|---|
Former Name | KERI NICOLE CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS29421) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 20454) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2013-09-09 |