| NPI | 1841999497 |
|---|---|
| Former Name | KATIE KOENIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16405131) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2026-04-23 |