| NPI | 1093242109 |
|---|---|
| Former Name | DEANNA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii10440915) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2025-07-25 |