| 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 |