NPI | 1528516341 |
---|---|
Former Name | DANIELLE MARIE BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95249) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2019-04-17 |