| NPI | 1184001687 |
|---|---|
| Former Name | SANDRA GAIL COBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2015012634) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 32D00000X) |
| 101YP2500X Counselor, Professional (Licence: MO 2015012634) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2022-05-04 |