| NPI | 1730513664 |
|---|---|
| Former Name | JACQUELINE BOWLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 86858) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 248479) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701012482) | |
| 101YM0800X Counselor Mental Health (Licence: CT 46.005823) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-08-16 |