| NPI | 1104198092 |
|---|---|
| Former Name | CHRISTINE RAE LOWRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2013-10-01 |