| NPI | 1366164550 |
|---|---|
| Former Name | TYRIKA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-06-24 |