| NPI | 1477269041 |
|---|---|
| Former Name | MCKENZI COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-10-12 |