| NPI | 1598108292 |
|---|---|
| Former Name | KATIE DELIA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117943) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217577) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-03-10 |