NPI | 1598036949 |
---|---|
Former Name | MARTHA JOY KLEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69260) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 30897) |
Enumeration Date | 2012-01-17 |
Last Update Date | 2025-01-02 |