| NPI | 1235344235 |
|---|---|
| Former Name | EILEEN COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW014135) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 07002) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2014-03-14 |