| NPI | 1497097950 |
|---|---|
| Other Name | TIEN PHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY32425) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-12-03 |