| NPI | 1376505768 |
|---|---|
| Former Name | JENNIFER LYNNE COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0002569) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0997218) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-14 |