| NPI | 1558012344 |
|---|---|
| Former Name | JENNY COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106805) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-05-18 |