| NPI | 1285103077 |
|---|---|
| Former Name | TIFFANY ROCHELLE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60917629) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA 60238753) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |