| NPI | 1710479803 |
|---|---|
| Former Name | KRISTIN MARY COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020291) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-09-10 |