| NPI | 1629667431 |
|---|---|
| Former Name | TIFFANY TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9821-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16514-131) |
| 104100000X Social Worker (Licence: WI 131004) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-06-07 |