| 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 |