| 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 |