| NPI | 1790001691 |
|---|---|
| Former Name | JACKIE LYNN LOWZIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T0934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: OR T0934) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2025-02-28 |