NPI | 1619343282 |
---|---|
Former Name | ANDRIANA COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0007378) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2016-11-18 |