| NPI | 1699863761 |
|---|---|
| Former Name | ALICIA LOPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7104) |
| 103T00000X Psychologist (Licence: NC 1229) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-02-04 |