NPI | 1720399330 |
---|---|
Former Name | TIFFANY ALAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081631) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 081993) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2024-03-05 |