NPI | 1386755684 |
---|---|
Former Name | SHEILA VAHNINGLE BOWRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 17433) |
Additional Taxonomies | 251B00000X Case Management (Licence: CA 17433) |
282N00000X General Acute Care Hospital (Licence: CA 17433) | |
310400000X Assisted Living Facility (Licence: CA 17433) | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 17433) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA 17433) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |