NPI | 1164884847 |
---|---|
Former Name | AMANDA LYNN BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014198) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012112) |
1041C0700X Social Worker, Clinical (Licence: CA 67015) | |
1041C0700X Social Worker, Clinical (Licence: NC C015794) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2024-04-04 |