| NPI | 1578766929 |
|---|---|
| Former Name | TANISHA WANJIRA BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S36258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101994) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-01-20 |