NPI | 1205009719 |
---|---|
Former Name | TIFFANY CHRISTINE FRANKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71704) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW71704) |
101YM0800X Counselor, Mental Health (Licence: CA 32361) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2008-04-04 |
Last Update Date | 2022-03-25 |