NPI | 1285257337 |
---|---|
Former Name | REBECCA T LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79280) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5532) |
Enumeration Date | 2020-05-24 |
Last Update Date | 2024-06-06 |