NPI | 1437173788 |
---|---|
Former Name | STEPHANY MARIE COOMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8645) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005061A) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-01-27 |