Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | AZ |
NPI | 1033203708 |
---|---|
Provider Name | Tiffany Stirling |
First Address | Pinedale, AZ 85934-1005 |
Second Address | Show Low, AZ 85901-4608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 25/07/2007 |