| NPI | 1952066615 |
|---|---|
| Former Name | DAWN MARIE COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 096168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV BP00945432) |
| 104100000X Social Worker (Licence: 112305) | |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2024-10-16 |