| NPI | 1538757646 |
|---|---|
| Former Name | CHRISTY MICHELE MOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020040333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 180012841) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |