| NPI | 1487908836 |
|---|---|
| Former Name | CHRISTINA KAYE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 31546) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2016-03-30 |