| NPI | 1063176261 |
|---|---|
| Former Name | ELSA ABIGAIL HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-07-11 |