| NPI | 1710126347 |
|---|---|
| Former Name | LISA C BOWLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF57828) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-06-17 |