NPI | 1528387750 |
---|---|
Former Name | BRADY BOWERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 245319) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-05-27 |
Last Update Date | 2019-07-10 |