NPI | 1073706560 |
---|---|
Former Name | DEBORAH ANN BOWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006021A) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87001069A) |
1041C0700X Social Worker Clinical (Licence: IN 33001891A.) | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2022-12-27 |