| NPI | 1679627871 |
|---|---|
| Former Name | NANCY A. COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0050088) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH 493) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-11-19 |