| NPI | 1386911840 |
|---|---|
| Former Name | TABITHA SIELOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082823-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081821-1) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2020-09-09 |