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 |