NPI | 1629229596 |
---|---|
Former Name | LINDA COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1109070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1109070) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2024-07-09 |