| NPI | 1568265890 |
|---|---|
| Former Name | TIFFANY FAYRENE COLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 21213) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-11-19 |