| NPI | 1336278324 |
|---|---|
| Former Name | NANCY ELIZABETH COATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-08-36) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-01-21 |