NPI | 1881883767 |
---|---|
Former Name | MICHELLE ANN KLINKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 345975) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15348131) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2020-10-25 |