NPI | 1609385616 |
---|---|
Former Name | TIFFANY MARIE VALIQUETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW114560) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-21 |
Last Update Date | 2023-04-03 |