NPI | 1184230658 |
---|---|
Former Name | ANGELA BOWLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61325590) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60723207) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2022-08-02 |