| NPI | 1477813814 |
|---|---|
| Former Name | DORIS MAE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1879) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00940294) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |