| NPI | 1275984122 |
|---|---|
| Former Name | ELIZABETH KOOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-01-27 |