| NPI | 1821199282 |
|---|---|
| Former Name | TIFFANY FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3008-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8019) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-11-19 |