| NPI | 1871942862 |
|---|---|
| Former Name | TIFFANY MONIQUE SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 119945) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 119945) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-01-29 |