| NPI | 1497809826 |
|---|---|
| Former Name | MARTHA GERALYN KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801000158) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 41010005185) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |