| NPI | 1801379805 |
|---|---|
| Other Name | PETRINA MCGOWEN |
| Entity Type | Organization |
| Authorized Contact | PETRINA MCGOWEN Owner/Provider 772-708-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |