| NPI | 1326256496 |
|---|---|
| Other Name | WOODY KOENIG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L1262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW00006625) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |