| NPI | 1407056351 |
|---|---|
| Former Name | AMY E KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014528) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 129) |
| 101YP2500X Counselor, Professional (Licence: KS 2108) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2018-07-10 |