| NPI | 1629016167 |
|---|---|
| Former Name | ANDREA ANTOINETTE WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 000720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2151) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2019-06-14 |