| NPI | 1790453058 |
|---|---|
| Former Name | CHARITY KLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-12-10307) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-03-13 |