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 |