NPI | 1255825550 |
---|---|
Former Name | RANADA BOWIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39003303A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39003303A) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-05-22 |