| NPI | 1841683737 |
|---|---|
| Former Name | TYNEISHA DONISHA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002835) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1094) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2023-08-25 |