Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1235282021 |
---|---|
Provider Name | Ms. Patricia Judith King |
First Address | Bothell, WA 98021-8972 |
Second Address | Bothell, WA 98021-8972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 20/03/2017 |