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 |