NPI | 1346962313 |
---|---|
Former Name | WHITNEY COLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 11961-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 11961-M) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2025-05-15 |