| NPI | 1316175946 |
|---|---|
| Professional Name | TYRA LEI GOODMAN-LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC COO 6410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 004414) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2021-02-17 |