| NPI | 1669601514 |
|---|---|
| Other Name | THERESA STACY KEARNS-COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 00000LICENSE ELIGIBL) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |