NPI | 1083314843 |
---|---|
Other Name | NOVA KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002559) |
Additional Taxonomies | 172A00000X Driver |
Enumeration Date | 2023-03-08 |
Last Update Date | 2025-03-10 |