| NPI | 1417463696 |
|---|---|
| Former Legal Business Name | TIFFANY SIDNEY THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | TIFFANY LOUISE SIDNEY President/CEO 314-368-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2016006062) |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2018-01-15 |