| 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 |