NPI | 1528243375 |
---|---|
Former Name | JENNIFER KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60242120) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60662255) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60662255) | |
Enumeration Date | 2007-12-28 |
Last Update Date | 2023-03-16 |