| NPI | 1346004926 |
|---|---|
| Former Name | GRETA LAVONNE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024762) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 8729) |
| 104100000X Social Worker (Licence: PA SW137757) | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-12-26 |