NPI | 1588915672 |
---|---|
Former Name | TIFFINEE YANCEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005266) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005266) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2023-11-02 |