NPI | 1235387036 |
---|---|
Former Name | TIFFANI JEAN PEARSON-SPIKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY #702) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY PCSW-338) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2021-01-13 |