NPI | 1467775783 |
---|---|
Former Name | LARA A BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61040145) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00059233) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2024-01-10 |