| NPI | 1043499288 |
|---|---|
| Former Name | VIVIAN G COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-0941) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2023-06-02 |