NPI | 1770067720 |
---|---|
Former Name | HEATHER COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 125100) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2018-09-15 |
Last Update Date | 2024-08-13 |