| NPI | 1043521297 |
|---|---|
| Former Name | ELIZABETH B COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VT 048.0093460) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 012558-1) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-01-12 |