NPI | 1700242237 |
---|---|
Former Name | TIFFANY BAER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24478) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA 018555) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2025-03-26 |