| 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 |