NPI | 1730338583 |
---|---|
Other Name | ELIZABETH BRAGG BOWLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 1863) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TN 2803) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2015-02-04 |