NPI | 1427217348 |
---|---|
Former Name | PAIGE GOWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OR 143074) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-06-05 |
Last Update Date | 2025-06-05 |