| NPI | 1952577181 |
|---|---|
| Former Name | TINA N KLOTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 348) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 348) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2023-03-06 |