| NPI | 1417438789 |
|---|---|
| Former Name | MICHELLE MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014345) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801103160) |
| 1041C0700X Social Worker, Clinical (Licence: NC PO13055) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-11-08 |