| NPI | 1609028026 |
|---|---|
| Former Name | PRISCILLA MARIE PALACIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 204185) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147393) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-09-12 |