NPI | 1023366986 |
---|---|
Former Name | TIFFANY N ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2015032105) |
Enumeration Date | 2012-08-27 |
Last Update Date | 2015-11-06 |