| NPI | 1730168873 |
|---|---|
| Former Name | GRETCHEN SUZANNE VAN KLEEF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR A-236) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 90-14E) |
| 101YP2500X Counselor, Professional (Licence: AR P9510030) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2007-07-08 |