NPI | 1407034853 |
---|---|
Former Name | KARA MICHELLE COOMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.103283) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-02-07 |
Last Update Date | 2018-11-19 |