NPI | 1417618042 |
---|---|
Former Legal Business Name | TIFFANY CRAWSHAW, PSY.D. |
Entity Type | Organization |
Authorized Contact | TIFFANY CRAWSHAW PSY.D. Owner 949-345-5387 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |