| 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 |