| NPI | 1346546132 |
|---|---|
| Former Name | KIMBERLY BOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020020501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9860) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2022-10-14 |