| NPI | 1760852750 |
|---|---|
| Former Name | MARISELA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CA 250181464) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT145499) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2026-03-05 |