| NPI | 1770306383 |
|---|---|
| Former Name | TYNISHA L ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 96457) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 96457) |
| Enumeration Date | 2024-11-02 |
| Last Update Date | 2024-11-02 |