| NPI | 1114956471 |
|---|---|
| Former Name | SHELLEY KAY KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND KLE-66-4695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 834-6-1-15) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-05-04 |