| NPI | 1316203029 |
|---|---|
| Doing Business As | FULLER LIFE FAMILY THERAPY INSITUTE |
| Entity Type | Organization |
| Authorized Contact | AMY FULLER Clinical Director 855-245-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201031) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |