| NPI | 1285760702 |
|---|---|
| Former Name | PHYLLIS JANE CRAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9698) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-11-29 |