| 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 |