| NPI | 1740645753 |
|---|---|
| Former Name | AMBER LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4582) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020904) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-07-15 |