NPI | 1255493359 |
---|---|
Other Name | HAZEL T COOK-FASANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001153) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10936) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2013-10-03 |