| 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 |