| NPI | 1104180090 |
|---|---|
| Former Name | KATHLEEN J KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-09-06 |