NPI | 1023584075 |
---|---|
Former Name | TIFFANY A STEELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60943583) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-10-17 |
Last Update Date | 2025-02-12 |