NPI | 1073815056 |
---|---|
Former Name | CHRISTINE WHITTAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3108) |
Additional Taxonomies | 251S00000X (Licence: FL MT3018) |
Enumeration Date | 2010-11-24 |
Last Update Date | 2019-06-11 |