NPI | 1982946364 |
---|---|
Former Name | KATHRYN POPE COCHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11254-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-06342) |
1041C0700X Social Worker, Clinical (Licence: IL 149.021042) | |
Enumeration Date | 2013-03-23 |
Last Update Date | 2024-12-20 |