NPI | 1912056854 |
---|---|
Former Name | LENECIA DEON BOWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66310) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50490) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2021-03-19 |