| NPI | 1336432749 |
|---|---|
| Other Name | TANYA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 16413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16413) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079970) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2024-08-12 |