NPI | 1679638654 |
---|---|
Professional Name | DAWN KOONTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2002018785) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-03-20 |