NPI | 1396556403 |
---|---|
Former Name | REBECCA COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106134) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931927) |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-06-17 |