| NPI | 1184299562 |
|---|---|
| Former Name | COETTE ISABELLA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA MC61428166) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist Counseling (Licence: WA CG61182327) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-12-29 |