| NPI | 1215146246 |
|---|---|
| Former Name | SUSAN PATRICIA COCHRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL Py7291) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 757) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-03-04 |