| NPI | 1003233669 |
|---|---|
| Former Name | MARIAH LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2026-0437) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-10635) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2026-07-10 |