NPI | 1861821795 |
---|---|
Former Name | MEGHAN BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2013-11-01 |
Last Update Date | 2016-12-21 |