| NPI | 1497053409 |
|---|---|
| Former Name | TYRA DAWN MCNIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6319) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2025-10-31 |