| NPI | 1619781366 |
|---|---|
| Former Name | PAIGE COYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14865) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 14865) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |