NPI | 1144806415 |
---|---|
Professional Name | MIA PERRY BOWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 293553) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-03-18 |
Last Update Date | 2022-03-12 |