| NPI | 1164470712 |
|---|---|
| Other Name | BOB OWEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004059) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00001829) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |