NPI | 1871088328 |
---|---|
Former Name | JOHANNA ISABEL CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8607738-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 86077383502) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2022-09-09 |