| NPI | 1285192252 |
|---|---|
| Former Name | CHAMAERA MONE SOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 25761) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2025-01-07 |