NPI | 1891816385 |
---|---|
Former Name | AMANDA NELL BOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001216) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-04-02 |
Last Update Date | 2016-10-07 |