| 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 |