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 |