| NPI | 1629853650 |
|---|---|
| Former Name | AMY NICOLE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPCCANDIDATE11968) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 318398) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-02-21 |