| NPI | 1689970642 |
|---|---|
| Former Name | MICHELLE LYNN KOEPSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 3264) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 8407) |
| 104100000X Social Worker (Licence: NE 6583) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2024-01-11 |