| NPI | 1770846859 |
|---|---|
| Former Name | TIFFANIE RAINEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AR 13-01EI) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 12-11AE-PL) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-06-17 |