NPI | 1992472542 |
---|---|
Former Name | VANESSA MICHELLE LOPEZ IRIARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC20298) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APPC11859) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2025-08-26 |