NPI | 1942811310 |
---|---|
Other Name | KESHIA COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2020-08-11 |
Last Update Date | 2021-05-20 |