| NPI | 1568885093 |
|---|---|
| Former Name | LISA YVONNE LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87974) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2024-08-02 |