| NPI | 1780716332 |
|---|---|
| Former Name | JOHANNE ALEXANDRA CHAVEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45443) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2148) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-06-23 |