| NPI | 1679565725 |
|---|---|
| Former Name | ALICIA E LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1781) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1206) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-03-13 |