| NPI | 1295162600 |
|---|---|
| Former Name | JONISHA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 13811) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2024-03-12 |