NPI | 1538502638 |
---|---|
Former Name | TIFFANY ENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70631) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079137-1) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2019-07-30 |