| NPI | 1174770648 |
|---|---|
| Former Name | NICHOLE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009521) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009521) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2026-03-06 |