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 |