NPI | 1295799328 |
---|---|
Former Name | SHIRLEE J KLEEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2003007684) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 5787) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2023-04-26 |