NPI | 1194549048 |
---|---|
Former Name | KASEY ANN MOWRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI CSW03981) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP01011) |
Enumeration Date | 2024-11-07 |
Last Update Date | 2025-01-10 |