NPI | 1558766469 |
---|---|
Other Name | ZAYA KUYKENDALL-BOWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005925) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 26006) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2014-11-04 |