| NPI | 1295023976 |
|---|---|
| Former Name | ANA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: AZ 1229314) |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 1229314) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2018-11-08 |