NPI | 1740427608 |
---|---|
Former Name | TAMI LYNN COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2387) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |