| NPI | 1265017297 |
|---|---|
| Other Name | KHADIJAH COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9739) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 010754062) | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2025-08-22 |