NPI | 1346783628 |
---|---|
Former Name | TIFFANY RENEE BAYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71948) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 71948) |
101YM0800X Counselor, Mental Health (Licence: TX 71948) | |
Enumeration Date | 2016-11-18 |
Last Update Date | 2019-09-09 |