| NPI | 1518462027 |
|---|---|
| Professional Name | TIFFANY EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 3416) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-04-02 |