NPI | 1295159069 |
---|---|
Former Name | RANDI COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18349) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: AZ LMSW-14112) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2025-02-04 |