NPI | 1366874844 |
---|---|
Former Name | KRISTINA D KOEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6636) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional (Licence: CA LPCC) | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2024-10-11 |