| NPI | 1891990388 |
|---|---|
| Former Name | AIMEE COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR 3852) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR 3852) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-10-09 |