| NPI | 1700502705 |
|---|---|
| Former Name | KATELYN ANN COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011567A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33010658A) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2025-03-17 |