NPI | 1457626665 |
---|---|
Former Name | TIFFANY JEAN JONES QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095093) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-03-21 |
Last Update Date | 2013-06-13 |