NPI | 1801068416 |
---|---|
Former Name | ANGELA M. LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF67563) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-03-24 |
Last Update Date | 2018-04-11 |