| NPI | 1912423476 |
|---|---|
| Former Name | HADLEY BLAKE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK E083104847) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-01-28 |