| NPI | 1699840710 |
|---|---|
| Former Name | MARTHA A FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 1001) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 1001) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2024-05-14 |