| NPI | 1063764017 |
|---|---|
| Former Name | FELICIA COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55426) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 55426) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2016-02-10 |