| NPI | 1619073509 |
|---|---|
| Former Name | TIFFANY RENEE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 5314) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006792) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-10-11 |