| NPI | 1992472542 |
|---|---|
| Former Name | VANESSA MICHELLE LOPEZ IRIARTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APPC11859) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-07-25 |