| NPI | 1235666405 |
|---|---|
| Former Name | COLLEEN DORIS KLEINBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020178) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68862) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-02-15 |