| NPI | 1366081457 |
|---|---|
| Former Name | KAYLA EVA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124558) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2024-09-26 |