NPI | 1518321041 |
---|---|
Former Name | M. KATHLEEN KOPRIVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008017603) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 20080117603) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2018-05-24 |