| NPI | 1689130155 |
|---|---|
| Doing Business As | MICHELLE LOPEZ |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOPEZ Clinical Psychologist 619-800-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |