NPI | 1588810378 |
---|---|
Former Name | MELISSA JILL KLEINMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R078640) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114825) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2020-09-09 |