| NPI | 1598906281 |
|---|---|
| Former Name | KRISTEN E. KOEPPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1837) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126691) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016762) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2020-07-27 |