| 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 |