| NPI | 1811655111 |
|---|---|
| Former Name | SOPHIA ANNE COBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-04-12 |