| NPI | 1912347840 |
|---|---|
| Former Name | TERRI JEAN KOWALEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.001551) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT1431) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-07-18 |