| NPI | 1346474830 |
|---|---|
| Former Name | MARIA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF59540) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 59540) |
| 225400000X Rehabilitation Practitioner (Licence: CA 59540) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2013-06-24 |