NPI | 1346259264 |
---|---|
Former Name | ANN BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005573) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC005573) |
101Y00000X Counselor (Licence: GA APC001330) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2021-05-26 |