NPI | 1851844963 |
---|---|
Former Name | KATHERINE MICHELLE BOWLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0007) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 5652-P) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2022-11-20 |