NPI | 1902940844 |
---|---|
Former Name | TIFFANY JOSELYN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66443) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 19523) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2021-06-02 |