| 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 | 2025-09-11 |