NPI | 1811676802 |
---|---|
Former Name | TIFFANY LINDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12514-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20831) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09929423) | |
1041C0700X Social Worker, Clinical (Licence: MI 6801116901) | |
Enumeration Date | 2023-07-17 |
Last Update Date | 2025-09-19 |