| NPI | 1487326880 | 
|---|---|
| Other Name | GIOVANNI LOPEZ | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127380) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 306406) | 
| Enumeration Date | 2021-10-04 | 
| Last Update Date | 2024-12-30 |