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 |