| NPI | 1942502240 |
|---|---|
| Former Name | PATRICIA LAURA LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NY 019100) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2024-06-18 |