| NPI | 1912103185 |
|---|---|
| Former Name | TIFFANY DAWN ZERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 5288) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6345) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-04-28 |