| NPI | 1558860155 |
|---|---|
| Former Name | CHRISTINA MARIE KOEPPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC6029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC18978) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2022-05-03 |