| NPI | 1790026862 |
|---|---|
| Former Name | JULIE BOWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 161513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY-1435) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-10-24 |