NPI | 1275840530 |
---|---|
Former Name | ISBAEL LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82007) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2010-09-08 |
Last Update Date | 2023-06-29 |