NPI | 1558658310 |
---|---|
Former Name | GABRIELLE EVE KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9552) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000521) |
101YP2500X Counselor, Professional (Licence: VA 0701004891) | |
Enumeration Date | 2011-06-30 |
Last Update Date | 2019-04-18 |