NPI | 1053425199 |
---|---|
Former Name | CYNTHIA FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2025-09-11 |