| NPI | 1689069346 |
|---|---|
| Former Name | TIFFANY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14968) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13253) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-06-24 |