| NPI | 1104050947 |
|---|---|
| Former Name | LUPITA PENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-08-04 |