| NPI | 1194333591 |
|---|---|
| Former Name | TIFFANY BENECKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-07-13 |