NPI | 1447561642 |
---|---|
Former Name | KAREN MARGARET LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023755-01) |
103TC0700X Psychologist, Clinical (Licence: WA PY60652236) | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2022-07-12 |