| NPI | 1992905301 |
|---|---|
| Former Name | LAURA L LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0130401) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0127681) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2012-07-27 |