NPI | 1699976316 |
---|---|
Other Name | TIFFANY ANN DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-1497) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1497) |
106H00000X Marriage & Family Therapist (Licence: CA IMF# 52227) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-14 |