| NPI | 1427326057 |
|---|---|
| Former Name | TIFFANY KINGSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007587) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC002758) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2014-10-01 |