NPI | 1952357824 |
---|---|
Former Name | TIFFANY ANNA OSBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0008276) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S-8276) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2009-10-27 |