NPI | 1679626378 |
---|---|
Former Name | SUSAN MORGAN COOKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10853) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-18 |
Last Update Date | 2021-09-30 |