| NPI | 1649033663 |
|---|---|
| Former Name | TIFFANY LYNN OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86477) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2026-05-18 |