| 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 | 2021-10-12 |