NPI | 1205119682 |
---|---|
Former Name | TIFFANY ELIZABETH TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0074342) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12936) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2023-04-20 |