| NPI | 1255715066 |
|---|---|
| Former Name | TIFFANY MERRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006472-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC13085) |
| 101YP2500X Counselor, Professional (Licence: VA 0701011909) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-07-23 |