NPI | 1356828396 |
---|---|
Former Name | TARYN ELIZABETH COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002017A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS T0554) |
106H00000X Marriage & Family Therapist (Licence: TX 205132) | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2025-03-19 |