| NPI | 1114343472 |
|---|---|
| Former Name | TJ ANN KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66095) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |