| NPI | 1457861338 |
|---|---|
| Former Name | KELSIE LEIGH BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1670) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-04-21 |