| NPI | 1609020510 |
|---|---|
| Former Name | TIFFANY LORRAINE PARCEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 2042) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2014-11-21 |