This letter recommends Tisha Salisbury for a position. It details that she worked at Senior Care Plus/Hometown Health from 1999 to 2008, performing various duties like customer service, data entry, and training. The author worked closely with Tisha and observed her excellent customer service skills, ability to multi-task and complete assignments accurately and on time. Tisha was also resourceful in automating processes and maintained quality work even on tasks that could not be automated. The author highly recommends Tisha.