| NPI | 1376316802 |
|---|---|
| Former Name | JESSICA L HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |