| NPI | 1568916260 |
|---|---|
| Former Name | SANDRA CECILIA PERAZA -DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 10254931-3902) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2024-12-13 |