| 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 |