NPI | 1669562591 |
---|---|
Former Name | TIFFANY A CREED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2362-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010018756) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2025-09-05 |