| NPI | 1750706461 |
|---|---|
| Former Name | RENA COCKERHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010161) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178009812) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2017-12-14 |