| NPI | 1215463047 |
|---|---|
| Former Name | KIMBERLY KOOPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-03 |