| NPI | 1588053219 |
|---|---|
| Former Name | KRISTIN E KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1710307) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2021-03-16 |