| NPI | 1356829501 |
|---|---|
| Former Name | CHRISTINE KOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802070707) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-05-31 |