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 |