| 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 |