NPI | 1689271322 |
---|---|
Former Name | ALLISON COOMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-134779) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2025-04-15 |