| NPI | 1780993196 |
|---|---|
| Former Name | TERAH NICOLE BOWLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64643) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64643) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2012-02-01 |