| NPI | 1598823072 |
|---|---|
| Former Name | DAVID LEROY KLINGERMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA lh60571247) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-06-08 |