| 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 Community/Behavioral Health (Licence: FL MT3018) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2019-06-11 |