| NPI | 1750624862 |
|---|---|
| Former Name | KATHRINE MARIE KOEHLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3941) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-14-15371) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-06-11 |