| NPI | 1861766503 |
|---|---|
| Former Name | STEPHANIE J KOXLIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011039354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2011039354) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2025-03-21 |