NPI | 1780148882 |
---|---|
Professional Name | ANGELA DAWN GRANQUIST-BOWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000912) |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |