NPI | 1073858999 |
---|---|
Other Name | TIFFANY TIERRA DAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802088417) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-12-04 |
Last Update Date | 2019-11-14 |