NPI | 1538191853 |
---|---|
Former Name | SHERRIE L KOFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60186704) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA rc00047192) |
104100000X Social Worker (Licence: WA LW60186704) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-06-12 |