| NPI | 1649749862 |
|---|---|
| Former Name | TIFFANY BROOKE PITTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI3211) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-04-13 |