| NPI | 1740980101 |
|---|---|
| Former Name | LISA D COCHRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39687) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 39687) |
| 103TS0200X Psychologist School (Licence: TX 32193) | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-09-26 |