NPI | 1417571506 |
---|---|
Former Name | ERICA THERESE CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204706) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 655) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2023-02-24 |