| NPI | 1609270834 |
|---|---|
| Former Name | LORENE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0183461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0183461) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-09-30 |