| NPI | 1780110106 |
|---|---|
| Former Name | RACHAEL BOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 06909) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG60608192) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-05-08 |