| NPI | 1679565725 |
|---|---|
| Former Name | ALICIA E LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1781) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1303) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: NE 3089) | |
| 104100000X Social Worker (Licence: NE 1206) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-04-13 |