NPI | 1760621239 |
---|---|
Former Name | BRENA LOUISE COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT97089) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77680) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2020-01-30 |