| NPI | 1073236915 |
|---|---|
| Former Name | TYRA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW012326) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: IL 150113537) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2025-12-10 |