| NPI | 1023318045 |
|---|---|
| Former Name | REGINA KINGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4526) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-01-27 |