NPI | 1649375379 |
---|---|
Former Name | ALLISON K LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY P058218) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY P058218) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-03-14 |