| NPI | 1679716575 |
|---|---|
| Former Name | TIFFANY S GRIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2023-01-12 |