| NPI | 1659664324 |
|---|---|
| Other Name | JUANITA MASSOL-LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3214-A) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2024-03-26 |