| NPI | 1053993907 |
|---|---|
| Former Name | ANNA MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-05-11 |