| NPI | 1952676181 |
|---|---|
| Former Name | TINA MARIE KOCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092454) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171100000X Acupuncturist (Licence: MI 12942) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2018-03-17 |