| NPI | 1205361680 |
|---|---|
| Former Name | HOLLY ELIZABETH COOKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WV 1325) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-09-28 |