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 |