NPI | 1174987465 |
---|---|
Former Name | JENNY COOKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61126655) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF502) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-08-12 |