| NPI | 1780074609 |
|---|---|
| Former Name | COURTNEY FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2025-01-16 |