NPI | 1730942111 |
---|---|
Former Name | KIMBER NICHOLE BOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00945944) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2309292) |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-01-30 |