NPI | 1962765057 |
---|---|
Former Name | SHEILA MARIE BOWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9975) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16726) |
101YP2500X Counselor, Professional (Licence: WI 5493) | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2025-05-30 |