| NPI | 1265294995 |
|---|---|
| Former Name | JESSICA RAE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: WA PY61170219) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OR 3486) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |