NPI | 1558665224 |
---|---|
Former Name | TIFFANY L PARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99784) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF65669) |
101YM0800X Counselor, Mental Health (Licence: CA 99784) | |
106H00000X Marriage & Family Therapist (Licence: CA imf65669) | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2024-05-30 |