NPI | 1063908333 |
---|---|
Former Name | TIFFANY CHRISTINE MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017039592) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 11597-C) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-08-17 |