| NPI | 1164884136 |
|---|---|
| Former Name | STEPHEANIE LYNNE KOHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD61071429) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-08-13 |