| NPI | 1710417043 |
|---|---|
| Former Name | TAMMY MARIE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1802598) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH S.1802598) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-02-14 |