| NPI | 1477898062 |
|---|---|
| Former Name | TIFFANY WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007565) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2015-04-17 |