| NPI | 1497375117 |
|---|---|
| Former Name | TIFFANY BAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 15777) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-04-05 |