| NPI | 1003970294 |
|---|---|
| Former Name | BETH R KOPPLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2268) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 01-03-17) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-03-04 |