NPI | 1609600071 |
---|---|
Other Name | IESHA KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99124301A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 99124301A) |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |