| NPI | 1235595943 |
|---|---|
| Former Name | MARIA CONNIE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018917) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6295) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2025-02-07 |