NPI | 1639714249 |
---|---|
Former Name | KAREN ANN KINGSOLVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC610103014) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 610103014) |
104100000X Social Worker | |
Enumeration Date | 2019-11-07 |
Last Update Date | 2020-11-17 |