NPI | 1528515335 |
---|---|
Former Name | REBECCA CHRISTINE FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW6990) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 10592 (LMSW)) |
Enumeration Date | 2016-09-09 |
Last Update Date | 2019-06-10 |