| NPI | 1306332598 |
|---|---|
| Former Name | LORI ANN LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76720) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14188) |
| 101YM0800X Counselor, Mental Health (Licence: TX 76720) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2026-04-24 |