| 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 |