| NPI | 1649969031 |
|---|---|
| Other Name | JEM MARIE COWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-09-07 |