| NPI | 1851310932 |
|---|---|
| Former Name | HEIDI JO KOOPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC21094) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LIAC-11071) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-13084) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-10-30 |