| NPI | 1851604029 |
|---|---|
| Former Name | KATRINA M COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00481) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2024-06-03 |