| 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 |