| NPI | 1942179833 |
|---|---|
| Former Name | NETHANIA CAROLINA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |