| NPI | 1962797407 |
|---|---|
| Former Name | TANYA P. LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87293) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 67049) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-12-04 |