| NPI | 1669582623 |
|---|---|
| Former Name | BRENDA M KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053132) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009611) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-02-05 |