| NPI | 1104283803 |
|---|---|
| Former Name | ELIZABETH KOGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 245518) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY LPCCCA00224180) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-01-03 |