| NPI | 1548483217 |
|---|---|
| Former Name | TIFFANY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013568) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0700237) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-08-27 |