| NPI | 1649801044 |
|---|---|
| Former Name | VERA LOPEZ PRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii055430518) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |