NPI | 1043230378 |
---|---|
Former Name | RANDY COONFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11152) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003582) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2015-07-23 |