| NPI | 1174229983 |
|---|---|
| Former Name | TIFFANY VANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5675) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-12-15 |