NPI | 1366164550 |
---|---|
Former Name | TYRIKA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101Y00000X Counselor |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2022-09-14 |
Last Update Date | 2025-03-25 |