| NPI | 1831371160 |
|---|---|
| Former Name | TIFFANY CLEMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1502396-Supv) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0901234) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2020-01-29 |