| NPI | 1336576883 |
|---|---|
| Former Name | TIFFANY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013163) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007168) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-10-24 |