| NPI | 1184463473 |
|---|---|
| Other Name | JOHANNA MOORE TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-07-24 |