| NPI | 1922493618 |
|---|---|
| Former Name | JENNA MARIE COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 64198) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 64198) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-02-01 |