| NPI | 1013554054 |
|---|---|
| Former Name | KRISSA L COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0011189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00702400) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-12-18 |