| NPI | 1679098743 |
|---|---|
| Former Name | KATHRYN E KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3757-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6571) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-09-23 |