| NPI | 1770067720 |
|---|---|
| Former Name | HEATHER COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2023-02-06 |