| NPI | 1689605412 |
|---|---|
| Former Name | RHONIE BLACK-TYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1502411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002382) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-01-06 |