| NPI | 1952809147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KOEHLER Doctor/Owner 469-408-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65709) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-29 |