| NPI | 1912375767 |
|---|---|
| Former Name | KORI BOWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2015020197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-01-07 |